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TC-684 Template Instructions - Utah State Tax Commission - Utah.gov

TC-684 Template Instructions - Utah State Tax Commission - Utah.gov

Column 2a Location field

Column 2a Location field number. Column 2b Location field name. Column 3a Date work started. Column 3b Date work ended. Column 3c Date DOGM approved the work. Column 4 Total expenses for workover or recompletion. (Expenses must be approved before credit can be taken.) Column 5 This column will calculate for you. Column 6 Percent of working interest owners who take product in kind. Column 7 This column will calculate for you. Column 8 Carryover nonrefundable tax credit from prior 3 years. Column 9 This column will calculate for you. Schedule B1 Instructions Enter the following information for working interest owners who take product in kind and are authorized to share the tax credit. Column 1a Utah Department of Oil, Gas and Mining-(DOGM) assigned API well number. Column 1b DOGM-assigned API well name. Column 2a Owner name. Column 2b Owner address. Column 2c DOGM account number. Column 2d Owner percent of interest. TC-684, Schedule C Instructions Enter the following information. Column 1 Utah Department of Oil, Gas and Mining (DOGM) field number. Column 2 Entity number from which the product was taken. Column 3 DOGM number of company receiving the product. Column 4 Name of company receiving the product. Rev. 6.6.12 4

Column 5 Product type (OL, GS, or NL). Column 6 Volume of product received from the producing entity. References/Resources • TC-684, Oil & Gas Severance Tax Annual Return • TC-684A, Oil & Gas Severance TaxTC-684A1, Pre-2007 Annual Field Exemption • TC-684B, Designation of Workover or Recompletion • TC-684B1, Designation of Workover or Recompletion Part 2 • TC-684C, Oil & Gas Reported by Others • Publication 58, Utah Interest and Penalties Returns and Schedules: You may be penalized if you do not file the correct forms and schedules. See http://tax.utah.gov/billing/penalties-interest for details. Information Updates: Contact the Tax Commission immediately if account information changes. Submit changes on the following forms: TC-69, Utah State Business and Tax Registration — open a new business or change ownership TC-69C, Notice of Change for a Tax Account — change address, close an outlet or account, and add or remove an officer or owner Taxpayer Resources: The Tax Commission offers online workshops to help taxpayers understand Utah taxes. Visit tax.utah.gov/training for a list of all training resources. If you need more information or access to online services, forms or publications, visit the Tax Commission’s home page at tax.utah.gov. You may also write or visit the Utah State Tax Commission at 210 North 1950 West, Salt Lake City, UT 84134-0400, or phone 801-297-2200 (1-800-662-4335 outside the Salt Lake area). You can email questions to taxmaster@utah.gov. ____________________ For accommodations under the Americans with Disabilities Act, contact the Tax Commission at 801-297-3811 or TDD 801- 297-2020. Please allow three working days for a response. Rev. 6.6.12 5

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